Jerry Lynn Edwards, PTA

Physical Therapy Assistant · Callahan, FL

Individual Active NPI

NPI number 1043554520

Practice location

45390 Green Ave
Callahan, FL 32011-3711
Phone
(904) 879-1223
Fax
(904) 277-4177

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NPI record

NPI
1043554520
Entity type
Individual (Type 1)
Enumeration date
November 21, 2012
Last updated
November 21, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA23801 FL

About Jerry Edwards

Jerry Lynn Edwards, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 45390 Green Ave, Callahan, FL 32011-3711. The NPI number 1043554520 was assigned on November 21, 2012 and the record was last updated on November 21, 2012.

Jerry Edwards lists a license in the registry: #PTA23801 (FL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Lynn Edwards, PTA?

The NPI number is 1043554520.

What is the phone number of Jerry Edwards?

The phone number listed for the practice location is (904) 879-1223.

Where is Jerry Edwards located?

45390 Green Ave, Callahan, FL 32011-3711.

What is the taxonomy code for Jerry Edwards?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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